Biomedical subjects

Fulya Isik

Publications and source records attributed to Fulya Isik.

8 recordsLinked to original sources

PubMed2006

Unilateral molar distalization with a modified slider.

Although there are numerous publications on bilateral non-compliance molar distalization appliances, there is limited information on problems such as asymmetrical unilateral Class II malocclusions. The aim of the present investigation was to examine the distalization of molars unilaterally in patients with a unilateral Class II molar relationship utilizing a Keles Slider, designed without a bite plane. Ten girls (mean age 13.94 +/- 2.13 years) and seven boys (mean age 13.12 +/- 1.51 years) comprised the study material. Following insertion of the appliance, the patients were seen monthly and the screw was reactivated every 2 months. After a super-Class I molar relationship was achieved, the appliance was removed and the molars were stabilized with a Nance appliance for 2 months before the second-phase of orthodontic treatment. The Nance appliance was maintained in the palate until the end of canine distalization. Lateral cephalometric radiographs were obtained before and immediately after insertion of the molar distalizer. The results showed that the maxillary first molars were distalized bodily on average by 2.85 mm. The maxillary first premolars moved forward bodily 2 mm and were extruded 2.03 mm. In all, 1.32 mm of protrusion, 1.12 mm of extrusion, and 1.79 degrees of proclination of the upper incisors were observed. The mandibular incisors and mandibular molars erupted 0.83 and 0.95 mm, respectively. The unilateral Keles Slider distalized molars successfully to a Class I molar relationship.

Adolescent↗

PubMed2006

Sagittal airway dimensions following maxillary protraction: a pilot study.

The relationship between changes in the position of the maxillary structures caused by maxillary protraction therapy and airway dimensions have not been investigated as comprehensively as the accompanying skeletal changes. The purpose of this study was to examine the effects of rapid palatal expansion (RPE) used in conjunction with maxillary protraction headgear on the sagittal dimension of the airway. The treatment sample consisted of 19 Class III patients (12 girls, 7 boys) with a mean age of 10.51 +/- 1.15 years, presenting with maxillary retrognathism. A cap splint type rapid palatal expander that had hooks between the upper lateral and canine teeth was used intraorally, and a Petit type facemask device extraorally, for an average of 6.78 +/- 0.93 months. Pre- and post-treatment cephalometric radiographs were evaluated. The results of the study revealed that point A moved anteriorly. The palatal plane showed a counter-clockwise rotation matched by the clockwise rotation of the mandible and an accompanying decrease in SNB angle. The vertical parameters showed a statistically significant increase. The head was in a more extensive position in relation to the cervical vertebrae. The nasopharyngeal airway measurements (PNS-ad1, PNS-ad2) showed an increase of 2.71 +/- 3.35 and 3.03 +/- 2.37 mm, respectively. These results demonstrated that limited maxillary widening together with protraction of the maxilla, improve nasopharyngeal but not oropharyngeal airway dimensions in the short term.

Cephalometry↗

PubMed2006

A comparative study of cephalometric and arch width characteristics of Class II division 1 and division 2 malocclusions.

The aim of this compound cephalometric and arch-width study was to determine any dental and/or skeletal differences between subjects with Class II division 1 and Class II division 2 malocclusions. The dento-skeletal characteristics of Class II subjects were evaluated using lateral cephalometric radiographs and dental casts of 90 untreated patients. The sample included 46 Class II division 1 patients (19 girls and 27 boys) with a mean age of 15.27 +/- 2.48 years, and 44 Class II division 2 patients (27 girls and 17 boys) with a mean age of 15.95 +/- 3.25 years. The intermolar, interpremolar and intercanine measurements were carried out on study models. The radiographs were digitized and processed using Dolphin Imaging software. In addition to standard descriptive statistical calculations, an independent samples t-test was carried out in order to compare the two groups. The non-parametric Mann-Whitney U test was utilized for the parameters for the data which were not normally distributed. The only statistically significant difference between the groups for the study model measurements was mandibular intercanine width. The cephalometric results revealed that SNB angle was responsible for the skeletal sagittal difference between the two groups. In addition, the Class II division 1 group had higher vertical proportions and the Class II division 2 group a more concave profile with a prominent chin. The sagittal skeletal pattern of Class II division 2 subjects was found to be very similar to the Class I skeletal relationship, with no evidence of any mandibular restriction.

Adolescent↗

PubMed2006

The role of cervical headgear and lower utility arch in the control of the vertical dimension.

INTRODUCTION: This study was carried out to evaluate the treatment changes in skeletal and dental parameters in growing patients. METHODS: The sample consisted of 24 subjects with Class II Division 1 malocclusion. Half of the patients were treated with cervical headgear alone (group C, n = 12), and the other half received a combination of cervical headgear and lower utility arch (group CU, n = 12). The treatment groups were compared with a matched untreated control group (n = 12). The mean ages of the subjects at the beginning of the study were 8.85 +/- 1.19 years in group C, 9.23 +/- 0.76 years in group CU, and 8.62 +/- 0.78 years in the control group. The cervical headgear was used with an expanded inner bow and a 15 degrees to 20 degrees upward bend of the longer outer bow, worn 12 to 14 hours a day, with a force of 450 to 500 g per side. The lower utility arch was designed as described in the bioprogressive technique. Treatment changes were assessed on lateral cephalometric radiographs. RESULTS: The cervical headgear produced Class II correction through maxillary orthopedic and orthodontic changes. Anterior face height increased more in the treatment groups than in the control group. The treatment groups also displayed statistically significant increases in ramus height. Due to these effects, mandibular plane orientation stayed relatively unchanged. There was no opening rotation of the mandible in the treatment groups. The lower utility arch produced intrusion and lingual tipping of the mandibular incisors and distal tipping without extrusion of the mandibular molars. The treatment groups showed significant anterior descents of the palatal plane. Maxillary molar total extrusion produced by cervical headgear treatment was an average of no more than 1 mm as compared with the control group. The utility arch did not appear to influence mandibular rotational response.

Analysis of Variance↗

PubMed2006

New protective polish effects on shear bond strength of brackets.

One of the solutions for the problem of white spot lesions has been the application of a polymer coating to the labial enamel surface. The aim of this study is to find out whether the liquid polish BisCover affects the bond strength of brackets bonded with a light-cured system (Transbond XT) and a no-mix system (Unite). Standard stainless steel premolar brackets were bonded to 100 permanent human premolars randomly divided into five equal groups. Two different enamel surface conditions were studied: dry and varnished with BisCover. For each enamel surface condition, two orthodontic adhesive systems were used: a light-cured system (Transbond XT) and a no-mix system (Unite). All teeth were conditioned with 37% phosphoric acid for 30 seconds, followed by thorough washing and drying. The teeth in groups 1 and 2 were bonded with Transbond XT and Unite, respectively. For groups 3, 4, and 5, a thin layer of BisCover was applied to the etched enamel with a brush and light cured for 15 seconds. In group 3, a thin layer of Transbond XT primer was applied, whereas in group 5, no additional primer was used on BisCover. In groups 3 and 5, the brackets were bonded with Transbond XT adhesive resin. Group 4 was bonded with no-mix Unite. Shear forces were applied to the samples by a Zwick Universal test machine, and bond strengths measured in megapascals. The results revealed that shear bond strengths of the groups did not differ significantly from each other.

Acrylates↗

PubMed2006

Light curing the primer-beneficial when working in problem areas?

The purpose of this study was to investigate whether Transbond XT with MIP and Assure were affected by light curing the primers before contamination with blood or saliva. The study material consisted of 180 human premolars. The teeth were assigned into 12 groups of 15 specimens each. Metal brackets were bonded to each tooth under five different enamel surface conditions: dry, contaminated with blood or contaminated with saliva after primer application without light curing the primer, and contaminated with blood or contaminated with saliva after primer application with light curing the primer. The shear bond strengths of the two adhesive groups were not significantly different from each other within the same surface condition. There was no statistically significant difference between the groups bonded under dry conditions. On the other hand, curing the primer before adhesive application enhanced the bond strength in the contamination groups. Saliva and blood behaved similarly, showing higher bond strength values when the primer was light cured before contamination. However, they revealed bond strengths of different magnitudes because of the differences in the type and amount of inorganic and organic substances they contained. Under ideal conditions, light curing the primer did not introduce any advantages. However, curing the primer before contamination revealed higher bond strengths. To minimize the negative effect of contamination on bond strength, it would be appropriate for clinicians to light cure immediately after the application of the primer.

Analysis of Variance↗

PubMed2006

Treatment of a Class II malocclusion with bilaterally impacted canines: a case report.

AIM: This article describes the treatment of a patient with a Class II malocclusion and bilaterally impacted canines using a Jasper jumper appliance. An unfavorable side effect of the appliance became a benefit as part of the treatment. METHODS: Treatment objectives were to erupt the impacted canines, expand the decreased intermolar width, and obtain a well-balanced profile, with a Class I occlusion. The widening effect of this appliance on the maxillary molars was expected to help increase the intermolar distance. RESULTS: Favorable changes were noted, both in the occlusion and in the profile. Class I canine and molar relationships with ideal overjet and overbite were achieved. Overbite and overjet were decreased by a combination of retrusion and extrusion of the maxillary incisors, and protrusion and intrusion of the mandibular incisors. The maxillary canines were erupted successfully, with healthy gingival tissue. The crossbite in the right posterior segment was corrected as a result of the increase in the intermolar distance. CONCLUSION: The results gained were primarily dentoalveolar, rather than skeletal. There has been an improvement in the occlusion and esthetics.

Activator Appliances↗

PubMed2003

Vertical growth changes after adenoidectomy.

The purpose of this retrospective investigation is to compare vertical growth component of craniofacial structure of subjects with early and late adenoidectomy history. The study consisted of 93 lateral cephalometric radiographs of three groups of randomly selected patients. The first group was made up of 12 patients (10 male and two female) with an average age of 11.16 +/- 2.08 years, who had been operated upon between 1.5-4 years of age. The second group was made up of 54 patients (25 maleand 29 female) with an average age of 12.18 +/- 2.6 years, who had been operated upon after four years of age. The third group of 27 patients (7 male and 20 female) with clear airway with an average age of 11.18 +/- 2.35 years was used as the control. The data obtained from two adenoidectomy groups were compared and because no statistically significant difference was found except for ANSMe/NMe, the two groups were pooled and compared with the growth pattern in the control sample. There were statistically significant differences in the following parameters: SNGoMe, PPGoMe angle, Gonial angle, Gonial ratio, sigma of inner angles, ANSMe/NMe ratio, Jarabak ratio, PNS-adl distance, PNS-ad2 distance, OAW1 distance. When compared with the control group, the adenoidectomy group showed a more vertically directed growth pattern, however, there were no vertical growth pattern differences between the two groups of children who had adenoidectomy before and after four years of age.

Adenoidectomy↗